Individual provider Active NPI

Emily Susan Fabus, M.A. CF-SLP

  • Speech-Language Pathologist
  • Flint, MI
National Provider Identifier
1457088189
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7152000406 Issued in MI
Practice address
4400 S Saginaw St
Flint, MI 48507-2645
Phone
(810) 275-9610
NPI assigned
Aug 3, 2022
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101008468 MI
Speech-Language Pathologist 235Z00000X 7152000406 MI Primary

Addresses

Primary practice location

4400 S Saginaw St
Flint, MI 48507-2645

Mailing address

4400 S Saginaw St
Flint, MI 48507-2645
Phone (810) 275-9610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230609001285 MI Practitioner - Qualified Speech Language Pathologist 3779940556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

7005 Pontiac TRL
West Bloomfield, MI 48323-2181
Phone (248) 681-2476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7101008468MIMDSpeech-Language Pathologist
7152000406MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah MD PC CurrentSince Jun 1, 2023 Accepting new patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Jan 22, 2024 Accepting new patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Jan 22, 2024 Accepting new patients
Jawad a Shah, MD PC CurrentSince Jun 1, 2023 Accepting new patients
Southeast Michigan Surgical Hospital, LLC PastSince Aug 7, 2022 Accepting new patients

Locations

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

2885 10 Mile Rd NE
Rockford, MI 49341
Phone (616) 326-0010

46471 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-9559

7005 Pontiac Trl
West Bloomfield, MI 48323
Phone (248) 681-2476

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1457088189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072645",
            "telephone_number": "810-275-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072645",
            "telephone_number": "810-275-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABUS",
        "first_name": "EMILY",
        "middle_name": "SUSAN",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008468",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.